| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67028 |
Intravitreal injection of a pharmacologic agent |
610 |
480 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
846 |
735 |
$42K |
| J9035 |
Injection, bevacizumab, 10 mg |
594 |
467 |
$38K |
| 92134 |
|
1,722 |
1,452 |
$27K |
| 92250 |
|
274 |
260 |
$8K |
| 92202 |
|
555 |
443 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
131 |
86 |
$4K |
| 92226 |
|
389 |
273 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$682.08 |